home : about us : ahead of print : current issue : archives search instructions : subscriptionLogin 
Users online: 175      Small font sizeDefault font sizeIncrease font size Print this page Email this page
 CASE REPORT
Year : 2014  |  Volume : 9  |  Issue : 2  |  Page : 172-174

Neuroretinitis with abnormal brain imaging in Ask-Upmark kidney: A novel case report


1 Department of Neurology, Dr. Sampurnanand Medical College and Mahatma Gandhi Hospital, Jodhpur, Rajasthan, India
2 Department of Medicine, Dr. Sampurnanand Medical College and Mahatma Gandhi Hospital, Jodhpur, Rajasthan, India
3 Department of Neurology, Smt. B. K. Shah Medical College, Baroda, India
4 Department of Medicine, Medical College, Baroda, Gujarat, India

Correspondence Address:
Gaurav M Kasundra
122, Subhash Nagar, Pal Road, Jodhpur - 342 008, Rajasthan
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1817-1745.139347

Rights and Permissions

We report a 13-year-old female patient having vertigo and visual blurring since 2 weeks with blood pressure being 180/106 mmHg. Fundus examination showed optic disc edema with macular star. After ruling out infective causes, idiopathic neuroretinitis was diagnosed. Her brain magnetic resonance imaging (MRI) scan revealed three periventricular morphologically multiple sclerosis (MS)-like white matter lesions. Renal ultrasound and renal arteriogram showed a shrunken left kidney, small non-stenotic left renal artery and reduced vessels in upper pole of left kidney, consistent with Ask-Upmark kidney (AUK). Her symptoms improved with antihypertensive drugs. Follow-up MRI at 1 year revealed no interval change, while fundus had normalized. Neuroretinitis typically has normal brain MRI and rules out MS. However, our patient having AUK-induced hypertension had neuroretinitis and MS-like brain lesions and did not fulfill diagnostic criteria for MS. Thus we postulate that MS-like lesions can be part of neuroretinitis, especially in hypertensive patients.






[FULL TEXT] [PDF]*


        
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1456    
    Printed41    
    Emailed2    
    PDF Downloaded85    
    Comments [Add]    

Recommend this journal